Provide Care, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PROVIDE CARE, INC

Practice address

5842 Old Main St
Suite 1
North Branch, MN 55056-6687

Phone

(651) 674-8312

Fax

(651) 674-8299

NPI assigned

Jan 29, 2008

Organization subpart

No

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

Authorized official

Name

Colleen Rod

Title

President

Phone

(651) 674-8312

Specialties & licenses 1

Addresses

Tax ID family

Provide Care Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Provide Care, Inc.

  • Social Worker
  • North Branch, MN
  • NPI 1669549887
  NPD tax ID

Locations

Practitioners 1

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

• Michael Charles Linder, MSW, LICSW

  • Clinical Social Worker
  • North Branch, MN
  • NPI 1568647410
  NPD (past)

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201564800000",
    "number": "1992982250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416",
            "city": "NORTH BRANCH",
            "state": "MN",
            "postal_code": "550560416",
            "telephone_number": "651-674-8312",
            "fax_number": "651-674-8299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5842 OLD MAIN ST",
            "address_2": "SUITE 1",
            "city": "NORTH BRANCH",
            "state": "MN",
            "postal_code": "550566687",
            "telephone_number": "651-674-8312",
            "fax_number": "651-674-8299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDE CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2008-01-29",
        "status": "A",
        "authorized_official_last_name": "ROD",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-674-8312"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phoenix
• Phoenix Academy of Art and Science
• William C Piotrowski, MD
• Galen Pocta
• Progressive Living Solutions, Inc.
• Provide Care, Inc.
• Psychiatry Now LLC
• Desirae Rajdl, MHP
• Paula Johnson Rehder, MD
• Richard R. Nyman, D.D.S., P.a.

• Community/Behavioral Health Agency in North Branch, MN
• Providers in North Branch, 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 Jan 29, 2008; 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.