Prairie Bluffs Tcu, Llc

LBN: Prairie Bluffs Tcu, Llc
Prairie Bluffs Tcu, Llc is an health care organization with primary practice located at 10300 Hennepin Town Rd , Eden Prairie MN 55347-5100. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Prairie Bluffs Tcu, Llc can be contacted via phone (952) 444-5000, or through Krebsbach, Chris via phone (612) 202-4553.

Contact Information

Primary practice address
10300 Hennepin Town Rd Eden Prairie MN 55347-5100
Phone: (952) 444-5000
Fax: (952) 204-3024
Website:
Map and Directions
Authorized official contact:
Name: Krebsbach, Chris LNHA
Phone: (612) 202-4553

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1770193872
LBN Legal business name Prairie Bluffs Tcu, Llc
DBA Doing business as
Authorized official Krebsbach, Chris LNHA
Entity Organization
Organization subpart 1 No
Enumeration date Aug 4th, 2020
Last updated Nov 4th, 2022 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770193872 NPPES
Minnesota MEDICAID 409168

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