COMMUNITY ADDICTION RECOVERY ENTERPRISE FERGUS FALLS – NPI #1902970551
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Health Care Provider Taxonomy Code for Substance Abuse Rehabilitation Facility

COMMUNITY ADDICTION RECOVERY ENTERPRISE FERGUS FALLS is a substance abuse rehabilitation facility located in FERGUS FALLS, MN. NPPES has assigned the NPI number 1902970551 to COMMUNITY ADDICTION RECOVERY ENTERPRISE FERGUS FALLS on November 17, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

The NPI profile was last updated on Jan 07, 2026. 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 COMMUNITY ADDICTION RECOVERY ENTERPRISE FERGUS FALLS below.

NPI Profile for
COMMUNITY ADDICTION RECOVERY ENTERPRISE FERGUS FALLS

NPI Number
1902970551
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
COMMUNITY ADDICTION RECOVERY ENTERPRISE FERGUS FALLS
Primary location
1010 MARYLAND LN
FERGUS FALLS, MN 56537-7530
Phone: (218) 736-1800 Fax: (218) 736-1852
1 Other location(s):
1400 N Union Ave
Fergus Falls, MN 56537-1248
Phone: (218) 739-7200
Mailing address
3200 LABORE RD
SUITE 104
VADNAIS HEIGHTS, MN 55110-5186
Phone: (651) 539-7200 Fax:
Organization Subpart
Yes - COMMUNITY ADDICTION RECOVERY ENTERPRISE FERGUS FALLS is subpart of another organization.
Authorized Official
LYNN GLANCEY
CHIEF FINANCIAL OFFICER
Phone: (651) 539-7200
Updated
Certification Date
Jan 07, 2026

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.

Identifiers

Identifiers for COMMUNITY ADDICTION RECOVERY ENTERPRISE FERGUS FALLS

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
medicaidMN169755200
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
324500000X
- Substance Abuse Rehabilitation Facility (Primary)		 MN 331128

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.