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CREATIVE CARE FOR REACHING INDEPENDENCE
NPI 1295870699
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Moorhead, MN

Active since February 21, 2007
2903 15TH ST S, MOORHEAD, MN 56560(218) 236-6730(218) 236-1481 Get Directions Write a Review

NPPES record last updated: August 13, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Creative Care For Reaching Independence NPPES

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

CREATIVE CARE FOR REACHING INDEPENDENCE (NPI 1295870699) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Moorhead, Minnesota and active in the NPI registry since February 2007. The organization lists Shannon Bock, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1295870699
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameCCRI, INC
Location Address2903 15TH ST SMoorhead, MN 56560-5111
Mailing Address2903 15th St SMoorhead, MN 56560-5111 · (218) 236-6730 · Fax (218) 236-1481
Phone(218) 236-6730
Fax(218) 236-1481
Organization SubpartNo
Authorized OfficialShannon BockExecutive Director · (218) 236-6730
Enumeration DateFebruary 21, 2007
Last NPPES UpdateAugust 13, 2014
✔ NPI 1295870699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
License✔ Licensed in MN · 800502
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Also ListedHome HealthTaxonomy 251E00000X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
2903 15TH ST S, Moorhead, MN 56560
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Other Names 1

Doing Business AsCreative Care For Reaching Independence

Other Identifiers 6

Medicaid409343700MN
Medicare PIN1295870699MN
Medicaid304720200MN
Medicaid403445700MN
Medicaid702420000MN
Medicaid001418000MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Other Providers at the Same Location NPPES 2

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

PATRICK LENERTZ LICSW
Social Worker (Clinical)
2903 15TH ST S
MOORHEAD, MN 56560
Clay County (218) 331-2001
LINDA LEE PAGENKOPF L.I.C.S.W.
Social Worker (Clinical)
2903 15TH ST S
MOORHEAD, MN 56560
Clay County (218) 331-2032

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 Ccri, Inc's NPI number?

The NPI number for Ccri, Inc is 1295870699. It was assigned to this organization in the NPPES registry on February 21, 2007. The provider is doing business as Creative Care For Reaching Independence.

Where is Ccri, Inc located?

Ccri, Inc is located at 2903 15th St S, Moorhead, MN 56560. The listed phone number is (218) 236-6730.

What is Ccri, Inc's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

What insurance does Ccri, Inc accept?

Health plans from HealthPartners list Ccri, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ccri, Inc was last updated on August 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.