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Ccri, Inc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Moorhead, Minnesota
NPI 1295870699

Ccri, Inc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Moorhead, MN. Ccri, Inc practices in Moorhead, MN. The NPI Number for Ccri, Inc is 1295870699 and holds a License No. (Minnesota).

The current practice location address for Ccri, Inc is 2903 15Th St S, Moorhead, MN and can be reached out via phone at 218-236-6730 and via fax at 218-236-1481.

Location: 2903 15Th St S, Moorhead, MN, 56560-5111
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1295870699
Provider Name
Ccri, Inc
Credential
Provider Entity Type
Organization
Address
2903 15Th St S, Moorhead, MN, 56560-5111
Phone Number
218-236-6730
Fax Number
218-236-1481
Provider Enumeration Date
02/21/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
001418000 05 MN
304720200 05 MN
702420000 05 MN
403445700 05 MN
409343700 05 MN
institution
Provider Business Practice Location Address Details
Address
2903 15Th St S
City
Moorhead
State
Minnesota
Zip
56560-5111
Phone Number
218-236-6730
Fax Number
218-236-1481
person
Provider Business Mailing Address Details
Address
2903 15Th St S
City
Moorhead
State
Minnesota
Zip
56560-5111
Phone Number
218-236-6730
Fax Number
218-236-1481
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
800502 (Minnesota)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
(Minnesota)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
(Minnesota)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
(Minnesota)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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