CREATIVE CARE FOR REACHING INDEPENDENCE – NPI #1295870699
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

CREATIVE CARE FOR REACHING INDEPENDENCE is a community based residential treatment facility located in MOORHEAD, MN. NPPES has assigned the NPI number 1295870699 to CREATIVE CARE FOR REACHING INDEPENDENCE on February 21, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CREATIVE CARE FOR REACHING INDEPENDENCE” is a dba name, the actual legal business name for this organization is CCRI, INC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 320900000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

The NPI profile was previously updated about 12 years ago on Aug 13, 2014. 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 CREATIVE CARE FOR REACHING INDEPENDENCE below.

NPI Profile for
CCRI, INC

NPI Number
1295870699
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
CCRI, INC
Doing Business As (dba): CREATIVE CARE FOR REACHING INDEPENDENCE
Primary location
2903 15TH ST S
MOORHEAD, MN 56560-5111
Phone: (218) 236-6730 Fax: (218) 236-1481
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SHANNON BOCK
EXECUTIVE DIRECTOR
Phone: (218) 236-6730
Updated
Identifiers

Identifiers for CREATIVE CARE FOR REACHING INDEPENDENCE

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.

See identifiers
DescriptionIssuerStateIdentifier
MEDICAIDMN403445700
MEDICAIDMN409343700
MEDICAIDMN001418000
MEDICAIDMN304720200
MEDICAIDMN702420000
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.

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.