MEADOW CREEK LLC (NPI# 1033233788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033233788 |
| Entity Type | Organization |
| Organization Name | MEADOW CREEK LLC |
| Other Organization Name | MEADOW CREEK |
| Practice Address |
17305 Meadow Creek Lane Pine City MN 55063 |
| Mailing Address |
550 Main Street Suite 230 New Brighton MN 55112 |
| Practice Telephone | 7634444838 |
| Practice Fax Number | 7634446007 |
| Mailing Telephone | 6123267600 |
| Mailing Fax Number | 6516313231 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2008-09-17 |
| Authorized Official Name | PAUL LINDEMAN (DIRECTOR REVENUE CYCLE MGMT) |
| Authorized Official Telephone | 6123267566 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 324500000X | Substance Abuse Rehabilitation Facility | 804733 | MN | Residential Treatment Facilities |
| N | 324500000X | Substance Abuse Rehabilitation Facility | 1033825 2 DS | MN | Residential Treatment Facilities |
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 804733 2 CDT | MN | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Meadow Creek | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Meadow Creek LLC | 1411 Mockingbird Pl., Los Angeles, CA 90069 |
| New York State Corporations | MEADOW CREEK LLC | Po Box 99, Merrick, Ny 11566 |
| Street Address |
17305 MEADOW CREEK LANE |
| City | PINE CITY |
| State | MN |
| Zip Code | 55063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205347465 | Shirleen Kay Roach | Counselor | 17305 Meadow Creek Lane, Pine City, MN 55063 | 2017-10-16 |
| 1407149396 | Shelley Ann Skarda | Counselor | 17305 Meadow Creek Lane, Pine City, MN 55063 | 2011-05-25 |
| 1063705929 | Marianne Bernadette Thiry | Counselor | 17305 Meadow Creek Lane, Pine City, MN 55063 | 2011-05-25 |
| 1942413687 | Meadow Creek, Inc | Substance Abuse Rehabilitation Facility | 17305 Meadow Creek Lane, Pine City, MN 55063 | 2007-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861025595 | B&b Guardian Angels Home Care Services, Inc | Home Health | 27680 Beroun Crossing Road, Pine City, MN 55063 | 2020-02-21 |
| 1346684289 | Power Chairs and Scooter Store Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 540 Main St S, Pine City, MN 55063 | 2013-04-22 |
| 1225387327 | Avalon Meridian Behavioral Health | Health Maintenance Organization | 645 3rd Avenue Sw, Pine City, MN 55063 | 2012-09-05 |
| 1629226949 | Community Supports Programming Services LLC | Home Health | 500 3rd Ave Se, Suite 2, Pine City, MN 55063 | 2008-08-28 |
| 1477647006 | Rachel E Waxberg | Chiropractor | 805 Main Street South, Pine City, MN 55063 | 2006-10-03 |
| 1306947494 | Joseph Norbert Nilsson | Chiropractor | 253 5th St Se, Pine City, MN 55063 | 2006-09-25 |
| 1851324313 | Pine Eye Associates, Pa | Optometrist | 110 Evergreen Square, Pine City, MN 55063 | 2006-07-08 |
| 1053372656 | Kristie Ann Roberts | Dentist | 1105 Hillside Ave Sw, Pine City, MN 55063 | 2006-03-31 |
| 1114495827 | Kelly Ann Buchta | Social Worker | 220 Railroad St Se, Pine City, MN 55063 | 2018-11-12 |
| 1104317445 | Bethany Renee Cleary | Counselor | 220 Railroad St Se, Pine City, MN 55063 | 2018-05-22 |
| Find all providers in zip 55063 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942413687 | Meadow Creek, Inc | Substance Abuse Rehabilitation Facility | 17305 Meadow Creek Lane, Pine City, MN 55063 | 2007-05-08 |
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|---|---|---|---|---|
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| 1730791393 | Crecer Services | Substance Abuse Rehabilitation Facility | 220 Robert St S Ste 103, Saint Paul, MN 55107-1626 | 2020-08-17 |
| 1801405584 | Bridge Recovery LLC | Substance Abuse Rehabilitation Facility | 1485 10th Avenue Ne, Sauk Rapids, MN 56379-9838 | 2020-07-28 |
| 1710505821 | Rrecovery Services | Substance Abuse Rehabilitation Facility | 867 Pierce Butler Rte, Saint Paul, MN 55104-1522 | 2020-07-06 |
| 1912520966 | Avenues, LLC | Substance Abuse Rehabilitation Facility | 1990 Suburban Ave Ste 2000, Saint Paul, MN 55119-7001 | 2020-05-26 |
| 1962022939 | Valley View Recovery Center Inc. | Substance Abuse Rehabilitation Facility | 31591 64th Ave, Cannon Falls, MN 55009-4296 | 2020-04-20 |
| 1801420039 | Recovery Center LLC | Substance Abuse Rehabilitation Facility | 109 W James St, Paynesville, MN 56362-1216 | 2020-02-26 |
| 1336772425 | Northern Minnesota Addiction Wellness Center | Substance Abuse Rehabilitation Facility | 4851 Stacy Ann Dr Nw, Bemidji, MN 56601 | 2020-02-17 |
| 1386277622 | Community of Recovering People | Substance Abuse Rehabilitation Facility | 1221 Wayzata Blvd E, Wayzata, MN 55391-1942 | 2020-02-14 |
| 1992366645 | One Touch of Christ Evangelistic Ministries | Substance Abuse Rehabilitation Facility | 5701 Shingle Creek Pkwy Ste 650, Brooklyn Center, MN 55430-2492 | 2019-06-24 |
| 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.