BRENTWOOD – NPI #1740591270
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

BRENTWOOD is a community based residential treatment facility located in MARSHALL, MN. NPPES has assigned the NPI number 1740591270 to BRENTWOOD on June 30, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BRENTWOOD” is a dba name, the actual legal business name for this organization is PRAIRIE COMMUNITY SERVICES INC. 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 15 years ago on Apr 07, 2011. 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 BRENTWOOD below.

NPI Profile for
PRAIRIE COMMUNITY SERVICES INC

NPI Number
1740591270
Enumeration Date

(about 16 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
PRAIRIE COMMUNITY SERVICES INC
Doing Business As (dba): BRENTWOOD
Primary location
1012 ESTHER LN
MARSHALL, MN 56258-2293
Phone: (320) 589-3077 Fax: (320) 589-4955
Mailing address
801 NEVADA AVE STE 100
MORRIS, MN 56267-1874
Phone: (320) 589-2004 Fax: (320) 589-2543
Organization Subpart
Yes - BRENTWOOD is subpart of another organization.
Authorized Official
SHERRY WAGNER
ASSIST DIRECTOR OF FINANCE
Phone: (320) 589-4902
Updated
Identifiers

Identifiers for BRENTWOOD

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMN1740591270
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 1056816

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.