Prairie Adult Care, Inc.

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

1062750 Issued in MN

Legal business name

PRAIRIE ADULT CARE, INC.

Practice address

16200 Berger Dr
Eden Prairie, MN 55347-2365

Phone

(952) 949-3126

NPI assigned

Mar 15, 2012

Last updated

Mar 15, 2012By 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

Kathleen A Evanson

Title

President/Director

Phone

(952) 949-3126

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1331769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331769600000",
    "number": "1932474509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6015 WINKER LN",
            "city": "PRIOR LAKE",
            "state": "MN",
            "postal_code": "553728170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16200 BERGER DR",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553472365",
            "telephone_number": "952-949-3126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIE ADULT CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-15",
        "last_updated": "2012-03-15",
        "status": "A",
        "authorized_official_last_name": "EVANSON",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/DIRECTOR",
        "authorized_official_telephone_number": "952-949-3126"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MN",
            "license": "1062750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prairie Coaching LLC
• Prairie Dental Group

• Adult Day Care Clinic/Center in Eden Prairie, MN
• Providers in Eden Prairie, MN by specialty
• Adult Day Care Clinic/Center in Minnesota

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