PRAIRIE RESIDENCE CARE, LLC
NPI 1003620055
Assisted Living Facility - Assisted Living, Mental Illness in Eden Prairie, MN

Q: What is Prairie Residence Care, LLC's NPI number?

The NPI number for Prairie Residence Care, LLC is 1003620055. It was assigned to this organization in the NPPES registry on February 1, 2025. The provider is doing business as Prairie Residenc Care, LLC.

Q: What is Prairie Residence Care, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

Active since February 01, 2025

12570 CROWFOOT CT, EDEN PRAIRIE, MN 55344(612) 461-2158 Get Directions Write a Review

NPPES record last updated: February 1, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Prairie Residence Care, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRAIRIE RESIDENCE CARE, LLC (NPI 1003620055), doing business as Prairie Residenc Care, Llc, is a healthcare organization registered as an assisted living, mental illness in Eden Prairie, Minnesota and active in the NPI registry since February 2025. The organization lists Aden Rashid, Owner, as its authorized official.

NPPES Registry Identity

NPI1003620055

Entity TypeOrganization

Primary Taxonomy3104A0625X

Legal Business NamePRAIRIE RESIDENCE CARE, LLC

Location Address12570 CROWFOOT CTEden Prairie, MN 55344-3937

Mailing Address12570 Crowfoot CtEden Prairie, MN 55344-3937

Phone(612) 461-2158

Organization SubpartNo

Authorized OfficialAden RashidOwner · (612) 461-2158

Enumeration DateFebruary 1, 2025

NPPES CertifiedFebruary 1, 2025

✔ NPI 1003620055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities

Taxonomy Code3104A0625X

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.

12570 CROWFOOT CT, Eden Prairie, MN 55344

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Other Names 1

Doing Business AsPrairie Residenc Care, Llc

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MOHAMED ADEN GEIRE

Home Health

12570 CROWFOOT CT
EDEN PRAIRIE, MN 55344

Hennepin County (952) 290-6029

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prairie Residence Care, LLC's NPI number?

The NPI number for Prairie Residence Care, LLC is 1003620055. It was assigned to this organization in the NPPES registry on February 1, 2025. The provider is doing business as Prairie Residenc Care, LLC.

Where is Prairie Residence Care, LLC located?

Prairie Residence Care, LLC is located at 12570 Crowfoot Ct, Eden Prairie, MN 55344. The listed phone number is (612) 461-2158.

What is Prairie Residence Care, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

When was this NPI record last updated?

The NPPES record for Prairie Residence Care, LLC was last updated on February 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.