AUSTIN MANOR – NPI #1720204159
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.

Health Care Provider Taxonomy Code for Community Based Residential Treatment Facility, Mental Illness

AUSTIN MANOR is a community based residential treatment facility located in AUSTIN, MN. NPPES has assigned the NPI number 1720204159 to AUSTIN MANOR on April 17, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “AUSTIN MANOR” is a dba name, the actual legal business name for this organization is THRIVE BEHAVIORAL NETWORK II, LLC. The primary taxonomy selected by this provider is 320800000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Mental Illness.

The NPI profile was previously updated about 4 years ago on Nov 08, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AUSTIN MANOR below.

NPI Profile for
THRIVE BEHAVIORAL NETWORK II, LLC

NPI Number
1720204159
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
THRIVE BEHAVIORAL NETWORK II, LLC
Doing Business As (dba): AUSTIN MANOR
Primary location
510 23RD AVE NW
AUSTIN, MN 55912-1827
Phone: (507) 433-5569 Fax: (507) 434-4707
Mailing address
2700 1ST ST N STE 300
SAINT CLOUD, MN 56303-4587
Phone: (320) 255-9530 Fax: (320) 251-2996
Organization Subpart
No
Authorized Official
JEFF BRADLEY
PRESIDENT
Phone: (612) 385-7857
Updated
Certification Date
Nov 08, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320800000X
- Community Based Residential Treatment Facility, Mental Illness (Primary)		 MN 804119-3-RMI

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.