Creative Care For Reaching Independence

LBN: Ccri, Inc
Creative Care For Reaching Independence is an health care organization with primary practice located at 2903 15Th St S , Moorhead MN 56560-5111. The organization recently has 4 registered licenses in different health care specialties including Agencies / Home Health, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities is the primary health care specialty. Ccri, Inc can be contacted via phone (218) 236-6730, or through Bock, Shannon via phone (218) 236-6730.

Contact Information

Primary practice address
2903 15Th St S Moorhead MN 56560-5111
Phone: (218) 236-6730
Fax: (218) 236-1481
Website:
Map and Directions
Authorized official contact:
Name: Bock, Shannon
Phone: (218) 236-6730

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X Minnesota
Agencies / Community/Behavioral Health 251S00000X Minnesota
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X Minnesota
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X 800502 Minnesota

Profile Details

NPI number 1295870699
LBN Legal business name Ccri, Inc
DBA Doing business as Creative Care For Reaching Independence
Authorized official Bock, Shannon
Entity Organization
Organization subpart 1 No
Enumeration date Feb 21st, 2007
Last updated Aug 13th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1295870699 NPPES
Minnesota MEDICAID 001418000
Minnesota MEDICAID 304720200
Minnesota MEDICAID 702420000
Minnesota MEDICAID 403445700
Minnesota MEDICAID 409343700

Popular Providers