ANNE CARLSEN CENTER


Address: 701 3rd St Nw, Jamestown, ND 58401-2963
Phone: 7012523850

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 315P00000X Intermediate Care Facility, Mentally Retarded ND Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
ND 30873 05
MN 727620600 05

Other Provider IDs and Locations

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

Other Data Sources

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

Office Location

Street Address 701 3RD ST NW
City JAMESTOWN
State ND
Zip Code 58401-2963

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 315P00000X
Grouping Nursing & Custodial Care Facilities
Classification Intermediate Care Facility, Mentally Retarded

Taxonomy Definition

(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).

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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Competitor

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City JAMESTOWN
Zip Code 58401

Improve Information

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Dataset Information

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.

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