RANGE MENTAL HEALTH CENTER, INC. (NPI# 1770872491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770872491 |
| Entity Type | Organization |
| Organization Name | RANGE MENTAL HEALTH CENTER, INC. |
| Other Organization Name | WELLSTONE CENTER FOR RECOVERY |
| Practice Address |
214 Chandler Avenue Eveleth MN 55734 |
| Mailing Address |
Po Box 1188 624 13th Street South Virginia MN 55792 |
| Practice Telephone | 2184714327 |
| Practice Fax Number | 2187449632 |
| Mailing Telephone | 2187492881 |
| Mailing Fax Number | 2187493806 |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2016-04-14 |
| Authorized Official Name | MARY J CARPENTER (CEO) |
| Authorized Official Telephone | 2187492881 |
| Authorized Official Credential | MSED, LP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Wellstone Center for Recovery | Doing Business As Name - Organization |
| Street Address |
214 CHANDLER AVENUE |
| City | EVELETH |
| State | MN |
| Zip Code | 55734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922536481 | Cobalt Blue Counseling PC | Clinic/Center | 3815 Pleasant Lake North, Eveleth, MN 55734 | 2017-05-30 |
| 1154734168 | Lotus Corporation | Assisted Living Facility | 426 Monroe St, Eveleth, MN 55734 | 2014-06-06 |
| 1619007010 | Paul Michael Maki | Chiropractor | 227 Grant Avenue, Eveleth, MN 55734 | 2007-03-06 |
| 1770817215 | Avera Queen of Peace | Clinic/Center | 213 South Main, Howard, SD 55734 | 2009-10-01 |
| 1942438692 | P.m.m. Enterprises Inc. | Chiropractor | 227 Grant Avenue, Eveleth, MN 55734 | 2009-07-01 |
| 1548241938 | Matthew Arnold Gahn | Optometrist | 420 Grant Avenue, Eveleth, MN 55734-1311 | 2005-11-11 |
| 1225034499 | Arrowhead Senior Living Community | Skilled Nursing Facility | 601 Grant Ave, Eveleth, MN 55734-1314 | 2005-06-22 |
| 1548826456 | Waterview Woods Assisted Living LLC | Assisted Living Facility | 601 Grant Ave, Eveleth, MN 55734-1314 | 2019-05-15 |
| 1598320368 | The Waterview Woods LLC | Skilled Nursing Facility | 601 Grant Ave, Eveleth, MN 55734-1314 | 2019-05-07 |
| 1538488267 | Jennifer Marie Menart | Physical Therapist | 221 Hayes St, Eveleth, MN 55734-1317 | 2010-05-20 |
| Find all providers in zip 55734 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790966828 | Community Transitional Services-eveleth | Community Based Residential Treatment Facility, Mental Illness | 227 Mckinley Ave, Eveleth, MN 55734-1606 | 2007-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730796384 | Maisa Inc. | Community Based Residential Treatment Facility, Mental Illness | 1113 E Franklin Ave Ste 208c, Minneapolis, MN 55404-2977 | 2020-09-28 |
| 1043837560 | Journey of Hope Community Housing LLC | Community Based Residential Treatment Facility, Mental Illness | 761 Case Ave, Saint Paul, MN 55106-3705 | 2020-06-30 |
| 1366005696 | Armando Cavazos | Community Based Residential Treatment Facility, Mental Illness | 84 Wabasha St S Apt 330, Saint Paul, MN 55107-1856 | 2019-04-22 |
| 1205300969 | Rescare Minnesota, Inc. | Community Based Residential Treatment Facility, Mental Illness | 4835-4901 West Boradway Avenue, Crystal, MN 55429 | 2019-01-16 |
| 1871064840 | Rescare Minnesota, Inc. | Community Based Residential Treatment Facility, Mental Illness | 300 8th Ave Ne, Minneapolis, MN 55413-2030 | 2018-12-17 |
| 1144791112 | Rescare Minnesota, Inc. | Community Based Residential Treatment Facility, Mental Illness | 5546 7th St Ne, Fridley, MN 55432-5556 | 2018-12-17 |
| 1053882027 | Rescare Minnesota, Inc. | Community Based Residential Treatment Facility, Mental Illness | 7701 Able St Ne, Spring Lake Park, MN 55432-2809 | 2018-12-17 |
| 1699246678 | Rescare Minnesota, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1140 80th Ave Ne, Spring Lake Park, MN 55432-2039 | 2018-12-17 |
| 1962973933 | Rescare Minnesota, Inc. | Community Based Residential Treatment Facility, Mental Illness | 6134 Woody Ln Ne, Fridley, MN 55432-5844 | 2018-12-17 |
| 1780155754 | Rescare Minnesota, Inc. | Community Based Residential Treatment Facility, Mental Illness | 500 Ironton St Ne, Fridley, MN 55432-1633 | 2018-12-17 |
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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.