AMERICAN INDIAN COMMUNITY DEVELOPMENT CORPORATION (NPI# 1558781633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558781633 |
| Entity Type | Organization |
| Organization Name | AMERICAN INDIAN COMMUNITY DEVELOPMENT CORPORATION |
| Practice Address |
1800 Chicago Ave Minneapolis MN 55404-1901 |
| Mailing Address |
1508 E Franklin Ave Suite 200 Minneapolis MN 55404-2157 |
| Practice Telephone | 6128793562 |
| Practice Fax Number | 6128793604 |
| Mailing Telephone | 6128793562 |
| Mailing Fax Number | 6128793604 |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2014-04-16 |
| Authorized Official Name | MS. SHARLEE RENE BENSON (DIRECTOR) |
| Authorized Official Telephone | 6128793562 |
| Authorized Official Credential | LADC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
10161012DS | MN | Ambulatory Health Care Facilities |
| Street Address |
1800 CHICAGO AVE |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55404-1901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992830756 | Kris Robertson-smith | Counselor | 1800 Chicago Ave, Vocational Services Program, Minneapolis, MN 55404-1901 | 2007-02-22 |
| 1881159226 | Julie Elizabeth Bates | Counselor | 1800 Chicago Ave, Minneapolis, MN 55404-1901 | 2019-02-08 |
| 1396258190 | Reentry House, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1800 Chicago Ave, Minneapolis, MN 55404-1901 | 2017-11-15 |
| 1750711925 | Lauren Adsem | Counselor | 1800 Chicago Ave, Suite S171, Minneapolis, MN 55404-1901 | 2013-11-25 |
| 1770881088 | Rebecca Lynn Prust | Social Worker | 1800 Chicago Ave, Minneapolis, MN 55404-1901 | 2011-03-10 |
| 1508992066 | Leonard Joel Zeff | Social Worker | 1800 Chicago Ave, Minneapolis, MN 55404-1901 | 2007-02-26 |
| 1083740773 | Ruthmary B Mcvay | Social Worker | 1800 Chicago Ave, Minneapolis, MN 55404-1901 | 2007-02-26 |
| 1679608319 | Tawny Marie Greene | Social Worker | 1800 Chicago Ave, Minneapolis, MN 55404-1901 | 2007-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568062461 | Andrew Moe | Counselor | 2118 Blaisdell Ave S., Minneapolis, MN 55404 | 2020-10-29 |
| 1194368191 | Luz Angelica Fehn Salinas | Psychologist | 1315 E24th St, Minneapolis, MN 55404 | 2019-10-22 |
| 1760969125 | Bethany Karen Kenny | Registered Nurse | 910 E 26th St Ste 200, Minneapolis, MN 55404 | 2018-07-27 |
| 1225535701 | Karissa Dougherty | Nurse Practitioner | 2200 E Franklin Ave # 199, Minneapolis, MN 55404 | 2018-04-10 |
| 1891299491 | Guidance Home Health Care LLC | Home Health | 2529 Nicollet Avenue 202b, Minneapolis, MN 55404 | 2018-03-20 |
| 1770085490 | Bright Future Counseling Service, LLC | Counselor | 912 E. 24th St., Suite B215, Minneapolis, MN 55404 | 2018-03-08 |
| 1346754298 | Juba Pharmacy Inc | Pharmacy | 1926 Chicago Ave S, Minneapolis, MN 55404 | 2017-11-29 |
| 1629597323 | Kira Larson Fieldstrom | Social Worker | 2400 Blaisdell Ave., Minneapolis, MN 55404 | 2017-09-13 |
| 1770008930 | Nicole Lynn Sparks | Social Worker | 2445 Park Avenue, Minneapolis, MN 55404 | 2017-08-09 |
| 1639612765 | Cosmo Home Healthcare Services, L.L.C. | Home Health | 2219 Oakland Ave S, Suite 104, Minneapolis, MN 55404 | 2016-11-21 |
| Find all providers in zip 55404 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093340036 | Humble Recovery | Clinic/Center | 1156 Aldrich Ave N, Minneapolis, MN 55411-4248 | 2020-03-10 |
| 1366096307 | Centered On Youth | Clinic/Center | 3210 Oliver Ave N, Minneapolis, MN 55412-2316 | 2019-07-29 |
| 1437526720 | Se Homes Recovery Inc | Clinic/Center | 4020 Minnehaha Ave Ste 2070, Minneapolis, MN 55406-4529 | 2015-08-21 |
| 1205078771 | North Point Health & Wellness Center, Inc | Clinic/Center | 1315 Penn Ave N, Minneapolis, MN 55411-3047 | 2009-03-30 |
| 1295866911 | Tubman | Clinic/Center | 4432 Chicago Ave S, Minneapolis, MN 55407-3519 | 2007-03-07 |
| 1720154081 | Park Ave Center Inc | Clinic/Center | 2525 Park Ave, Minneapolis, MN 55404 | 2006-11-28 |
| 1811375397 | Hope Health Care, Inc | Clinic/Center | 4721 Hiawatha Ave, Minneapolis, MN 55406-3928 | 2015-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881250785 | Adap Consulting | Clinic/Center | 1605 Southcross Dr W Ste B, Burnsville, MN 55306-7013 | 2019-05-15 |
| 1821550005 | Coscarelli Consulting, LLC | Clinic/Center | 1687 Woodlane Dr Ste 2002, Woodbury, MN 55125-3063 | 2019-04-04 |
| 1669943908 | Capital Health Services LLC | Clinic/Center | 680 Mendelssohn Ave N, Golden Valley, MN 55427-4306 | 2018-12-16 |
| 1013497916 | Thrive Behavioral Network Iv, LLC | Clinic/Center | 119 Friberg Ave, Suite B, Fergus Falls, MN 56537-2251 | 2018-08-20 |
| 1780186130 | Alliance Wellness Clinic Inc. | Clinic/Center | 8040 Old Cedar Ave. S. Ste. 100, Bloomington, MN 55425-1211 | 2018-03-01 |
| 1447795596 | Conceptual Counseling & Assessment | Clinic/Center | 151 W Burnsville Pkwy Ste 101, Burnsville, MN 55337-2525 | 2016-12-28 |
| 1871035568 | No Other Way (now) Recovery Services LLC | Clinic/Center | 1614 W 3rd St, Red Wing, MN 55066-2086 | 2016-11-11 |
| 1104374073 | Lakes Opioid Treatment Program, Inc | Clinic/Center | 8381 Lake Land Trl Nw, Walker, MN 56484-2109 | 2016-09-20 |
| 1285095778 | Wild River Services | Clinic/Center | 1246 University Ave W Ste 101, Saint Paul, MN 55104-4125 | 2016-03-11 |
| 1184017279 | Alliance Wellness Center LLC | Clinic/Center | 1120 E 80th St Ste 108, Bloomington, MN 55420-1463 | 2015-03-12 |
| Find all providers with the same taxonomy | ||||
| City | MINNEAPOLIS |
| Zip Code | 55404 |
Please comment or provide details below to improve the information on AMERICAN INDIAN COMMUNITY DEVELOPMENT CORPORATION.
| 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.