JACOB WRICH


Address: 603 3rd St W Apt 1, Hastings, MN 55033-1127
Phone: 6513190193

JACOB WRICH (NPI# 1881163632) 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) 1881163632
Entity Type Individual
Full Name JACOB WRICH
Practice Address 603 3rd St W Apt 1
Hastings
MN 55033-1127
Mailing Address 603 3rd St W
Hastings
MN 55033-1127
Practice Telephone 6513190193
Mailing Telephone 6514340449
Enumeration Date 2018-11-21
Last Update Date 2018-11-21
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320900000X Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1097171 MN Residential Treatment Facilities

Provider Secondary Practice Location

Address Telephone Number Fax Number
214 Sibley St Apt 2, Hastings, MN 550331225 6513190260
603 3rd St W Apt 3, Hastings, MN 550331127 6513190634
927 6th St W, Hastings, MN 550331627 6514323140
934 Bailey St, Hastings, MN 550332213 6513190225

Office Location

Street Address 603 3RD ST W APT 1
City HASTINGS
State MN
Zip Code 55033-1127

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679052898 Juan Miguel Almonte Sanchez Dentist 1465 N Frontage Rd, Hastings, MN 55033 2018-08-08
1194126995 Grand St Paul Cvs LLC Durable Medical Equipment & Medical Supplies 1411 Vermillion, Hastings, MN 55033 2014-09-11
1134490469 Bernie Jerome Menge Counselor 1303 S Frontage Rd Ste 275, Hastings, MN 55033 2012-01-18
1578874814 Kristen Kingsbury Desautel Optometrist 1757 N. Frontage Rd, Hastings, MN 55033 2010-06-30
1790944973 Parker Chiropractic Pa Chiropractor 1320 S Frontage Rd, Ste 102, Hastings, MN 55033 2008-06-03
1518144740 Susan Hietala Levahn Physical Therapist 85 Pleasant Ave, Hastings, MN 55033 2008-01-30
1851578215 John Thomas Tonsager Physical Therapist 1285 Nininger Road, Hastings, MN 55033 2008-01-29
1588849889 Laura Lynn Richardson Occupational Therapist 85 Pleasant Drive, Hastings, MN 55033 2008-01-04
1518142801 Debra Ann Perron Mccabe Occupational Therapist 1175 Nininger Road, Hastings, MN 55033 2008-01-04
1083899892 Christina Marie Kummer Occupational Therapist 85 Pleasant, Regina Medical Center Ymca Location Out Pt Clinic, Hastings, MN 55033 2007-12-31
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Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Notes: [7/1/2003: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1184244527 Kam Homecare Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1500 Nicollet Ave Apt 305, Minneapolis, MN 55403-2724 2020-04-24
1477117885 Kelly Rae Martin Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 13881 Schuelke Beach Rd Nw, Miltona, MN 56354 2019-05-01
1295291573 Tricia Bastian Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 607 4th St S, Walker, MN 56484-6400 2019-02-12
1003394479 Malissa Ann Costanzo Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 844 8th Ave Se, Forest Lake, MN 55025 2018-07-30
1154814564 Laurie K. Tazelaar-williams Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 5253 W Bald Eagle Blvd, White Bear Lake, MN 55110-6532 2018-06-11
1205340577 Dale Conrad Forslin Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1029 Highway 65 Ste 107, Braham, MN 55006-3360 2017-11-25
1952831026 Noble Senior Center Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1094 University Ave W, Saint Paul, MN 55104 2017-06-12
1407396336 Viko Health Services Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 5651 69th Ave N, 203, Brooklyn Park, MN 55429-1579 2017-02-25
1972052702 Marie-noel Hiol-hiol Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 14642 Quartz Ter Nw, Ramsey, MN 55303-4581 2016-09-21
1750839569 Kubra Residential Center Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1711 W 143rd St Apt 120, Burnsville, MN 55306-7989 2016-09-21
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Competitor

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City HASTINGS
Zip Code 55033

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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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