ANNE CARLSEN CENTER (NPI# 1326172412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326172412 |
| Entity Type | Organization |
| Organization Name | ANNE CARLSEN CENTER |
| Practice Address |
701 3rd St Nw Jamestown ND 58401-2963 |
| Practice Telephone | 7012523850 |
| Practice Fax Number | 7019525154 |
| Mailing Telephone | 7012523850 |
| Mailing Fax Number | 7019525154 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2008-10-27 |
| Authorized Official Name | DAN HOWELL (CEO) |
| Authorized Official Telephone | 7012523850 |
| Is Organization Subpart | Y |
| Parent Organization Name | ANNE CARLSEN CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | ND | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 30873 | 05 | |
| MN | 727620600 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144582933 | Anne Carlsen Center | Intermediate Care Facility, Mentally Retarded | 701 3rd Steeet Nw, Jamestown, ND 58401 | 2012-06-08 |
| 1386829190 | Anne Carlsen Center | Intermediate Care Facility, Mentally Retarded | 605 3rd St Nw, Jamestown, ND 58401-2965 | 2007-12-31 |
| 1770889594 | Anne Carlsen Center | Early Intervention Provider Agency | 701 3rd St Nw, Jamestown, ND 58401-2963 | 2011-01-27 |
| 1598930109 | Anne Carlsen Center | Occupational Therapist | 701 3rd St Nw, Jamestown, ND 58401-2963 | 2008-04-24 |
| 1316117542 | Anne Carlsen Center | Clinic/Center | 701 3rd St Nw, Jamestown, ND 58401-2963 | 2008-03-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | ANNE CARLSEN CENTER | 701 3rd St Nw, Jamestown, ND 58401 |
| Iowa Business Entities | ANNE CARLSEN CENTER | 701 3rd St Nw, Jamestown, ND 58401 |
| System for Award Management (SAM) Entities | ANNE CARLSEN CENTER FOUNDATION | 701 3rd Street Nw, Jamestown, ND 58401-2963 |
| Street Address |
701 3RD ST NW |
| City | JAMESTOWN |
| State | ND |
| Zip Code | 58401-2963 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518980846 | Barbara K Stanton | Counselor | 701 3rd St Nw, Jamestown, ND 58401-8000 | 2006-07-26 |
| 1275146698 | Erica Sierra | Behavior Technician | 701 3rd St Nw, Jamestown, ND 58401-2963 | 2020-08-25 |
| 1194338657 | Rachel Nicole Larson | Physical Therapist | 701 3rd St Nw, Jamestown, ND 58401-2963 | 2020-08-25 |
| 1477166163 | Jenny Catherine Korynta | Behavior Technician | 701 3rd St Nw, Jamestown, ND 58401-2963 | 2020-08-24 |
| 1932717865 | Justin Folsom | Behavior Technician | 701 3rd St Nw, Jamestown, ND 58401-2963 | 2020-07-16 |
| 1851912927 | Teresa Annette Martini | Behavior Technician | 701 3rd St Nw, Jamestown, ND 58401-2963 | 2020-04-30 |
| 1881215077 | Macy Dimler | Behavior Technician | 701 3rd St Nw, Jamestown, ND 58401-2963 | 2020-04-29 |
| 1376178608 | Kiah Vanasse | Occupational Therapist | 701 3rd St Nw, Jamestown, ND 58401-2963 | 2020-03-06 |
| 1609400860 | Dane Nels Jessen | Behavior Technician | 701 3rd St Nw, Jamestown, ND 58401-2963 | 2020-02-26 |
| 1801429881 | Cassie Lynn Pierson | Behavior Technician | 701 3rd St Nw, Jamestown, ND 58401-2963 | 2020-02-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396343737 | Face and Jaw Surgeons PC | Dentist | 1517 12 Ave Ne, Jamestown, ND 58401 | 2020-10-16 |
| 1194216481 | Richard Yonick | Case Manager/Care Coordinator | South Central Human Service Center, 520 3rd St Nw, Jamestown, ND 58401 | 2018-05-23 |
| 1831607910 | Creative Journey, LLC | Clinic/Center | 429 2nd St Sw Ste 205, Jamestown, ND 58401 | 2018-01-11 |
| 1619399334 | Stutsman County Social Services | Case Manager/Care Coordinator | 116 1st Street East, Jamestown, ND 58401 | 2014-01-15 |
| 1073945176 | Sarah Walker | Pharmacist | 410 10th Street Se, Suite 8, Jamestown, ND 58401 | 2013-07-31 |
| 1811339369 | Yvette D Patrick | Occupational Therapist | 207 2nd Avenue Se, Jamestown, ND 58401 | 2013-07-25 |
| 1144582933 | Anne Carlsen Center | Intermediate Care Facility, Mentally Retarded | 701 3rd Steeet Nw, Jamestown, ND 58401 | 2012-06-08 |
| 1407008360 | Jacob Dale Reinarts | Counselor | 2504 Circle Dr # 58401, Jamestown, ND 58401 | 2008-10-22 |
| 1548426430 | Shipley Basic Care | Alzheimer Center (Dementia Center) | 1505 3 St Se, Jamestown, ND 58401 | 2008-07-31 |
| 1831384445 | Drake Counseling Services | Clinic/Center | 1210 13th Ave Sw, Jamestown, ND 58401 | 2007-09-07 |
| Find all providers in zip 58401 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144582933 | Anne Carlsen Center | Intermediate Care Facility, Mentally Retarded | 701 3rd Steeet Nw, Jamestown, ND 58401 | 2012-06-08 |
| 1487839296 | Anne Center for Children | Intermediate Care Facility, Mentally Retarded | 601 3rd St Nw, Jamestown, ND 58401-2965 | 2007-12-31 |
| 1679758486 | Anne Carlsen Center for Children | Intermediate Care Facility, Mentally Retarded | 603 3rd St Nw, Jamestown, ND 58401-2965 | 2007-12-31 |
| 1386829190 | Anne Carlsen Center | Intermediate Care Facility, Mentally Retarded | 605 3rd St Nw, Jamestown, ND 58401-2965 | 2007-12-31 |
| 1831244052 | Bridges Inc. | Intermediate Care Facility, Mentally Retarded | 20 Stanchion St, Jamestown, RI 02835-3049 | 2007-01-25 |
| 1922153188 | Bridges Inc | Intermediate Care Facility, Mentally Retarded | 58 Pemberton Ave, Jamestown, RI 02835-1430 | 2007-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790302420 | Lake Region Corporation | Intermediate Care Facility, Mentally Retarded | 2017 Highway 20, Devils Lake, ND 58301-8650 | 2020-06-29 |
| 1255965398 | Development Homes Inc | Intermediate Care Facility, Mentally Retarded | 5509 Cottonwood Street, Grand Forks, ND 58201 | 2020-02-27 |
| 1689197493 | Rem North Dakota | Intermediate Care Facility, Mentally Retarded | 1905 2nd Street Se, Suite 1a, Minot, ND 58701 | 2017-07-24 |
| 1548782790 | 1150 Group Home | Intermediate Care Facility, Mentally Retarded | 1150 N. Collins Aveue, Mandan, ND 58554 | 2017-07-10 |
| 1437690609 | 1140 Grouphome | Intermediate Care Facility, Mentally Retarded | 1140 Collins Ave, Mandan, ND 58554 | 2017-03-20 |
| 1861810053 | Red River Human Services Foundation | Intermediate Care Facility, Mentally Retarded | 903 Mulberry Ln, West Fargo, ND 58078-5000 | 2014-04-03 |
| 1578835641 | Hit Inc. 1301 Grouphome | Intermediate Care Facility, Mentally Retarded | 1301 7th Ave Se, Mandan, ND 58554 | 2012-02-03 |
| 1598062143 | 1201 Grouphome | Intermediate Care Facility, Mentally Retarded | 1201 7th Ave Se, Mandan, ND 58554 | 2011-02-17 |
| 1407153059 | 1203 Grouphome | Intermediate Care Facility, Mentally Retarded | 1203 7th Ave Se, Mandan, ND 58554 | 2011-02-17 |
| 1417124462 | Villa Nazareth | Intermediate Care Facility, Mentally Retarded | 2424 18th St S, Fargo, ND 58103-5110 | 2008-05-09 |
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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.