GRANDER LIVING LLC (NPI# 1023511714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023511714 |
| Entity Type | Organization |
| Organization Name | GRANDER LIVING LLC |
| Practice Address |
7924 Victoria Dr Ste 201c Victoria MN 55386-2801 |
| Mailing Address |
Po Box 2 7924 Victoria Drive Ste. 201c Victoria MN 55386 |
| Practice Telephone | 9522209283 |
| Mailing Telephone | 9522209283 |
| Enumeration Date | 2018-03-09 |
| Last Update Date | 2018-03-09 |
| Authorized Official Name | RENEE E CARLSON (OWNER, MENTAL HEALTH COUNSELOR) |
| Authorized Official Telephone | 9522209283 |
| Authorized Official Credential | LPCC-S, RPT-S |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Street Address |
7924 VICTORIA DR STE 201C |
| City | VICTORIA |
| State | MN |
| Zip Code | 55386-2801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932647294 | Nathan Zachary Servey | Chiropractor | 1700 Stieger Lake Lane, Suite 103, Victoria, MN 55386 | 2017-02-07 |
| 1710433420 | Seek Eye Care, Pa | Optometrist | 7940 Victoria Drive, Suite 103, Victoria, MN 55386 | 2016-09-01 |
| 1801211586 | Jillyne Bobrowsky | Nutritionist | 8042 Victoria Drive, Victoria, MN 55386 | 2014-03-04 |
| 1730481391 | Robert Elmer Brown | Chiropractor | 8000 Rose, Victoria, MN 55386 | 2010-12-02 |
| 1952505323 | Kerber Psychological Services LLC | Community/Behavioral Health | 562 Bavaria Lane, Chaska, MN 55386 | 2007-06-12 |
| 1720182082 | Emily Ann Morisset | Speech-Language Pathologist | 1772 Steiger Lake Lane, Victoria, MN 55386 | 2006-09-08 |
| 1629172986 | Michele Therese Pulvermacher | Speech-Language Pathologist | 1772 Stieger Lake Lane, Victoria, MN 55386 | 2006-09-08 |
| 1093738692 | Active Living Chiropractic P.a. | Clinic/Center | 1550 Arboretum Blvd, Victoria, MN 55386 | 2006-07-25 |
| 1629566302 | Jeannie Marie Farrell | Student in an Organized Health Care Education/Training Program | 1772 Stieger Lake Ln, Victoria, MN 55386 | 2018-04-27 |
| 1477757698 | Katie Marie Skaro | Occupational Therapist | 1772 Stieger Lake Lane, Suite 100, Victoria, MN 55386 | 2007-06-12 |
| Find all providers in zip 55386 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.