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

NPI Status: Active since February 21, 2007

Contact Information

2903 15TH ST S
MOORHEAD, MN
ZIP 56560
Phone: (218) 236-6730
Fax: (218) 236-1481

Get Directions Write a Review

  • Organization
  • Community Based Residential Treatment Fa...
  • Accepts Insurance

About CREATIVE CARE FOR REACHING INDEPENDENCE

This page provides the complete NPI Profile along with additional information for Creative Care For Reaching Independence, a provider established in Moorhead, Minnesota operating as a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1295870699 assigned on February 2007. The practitioner's primary taxonomy code is 320900000X with license number 800502 (MN). The provider is registered as an organization and their NPI record was last updated 12 years ago. The provider's is doing business as Creative Care For Reaching Independence. The authorized official of this NPI record is Mrs. Shannon Bock (Executive Director)

NPI
1295870699
Provider Legal Name
CCRI, INC
Other Organization Name
CREATIVE CARE FOR REACHING INDEPENDENCE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2903 15TH ST S MOORHEAD, MN 56560
Location Phone
(218) 236-6730
Location Fax
(218) 236-1481
Mailing Address
2903 15TH ST S MOORHEAD, MN 56560
Mailing Phone
(218) 236-6730
Mailing Fax
(218) 236-1481
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-21-2007
Last Update Date
08-13-2014
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Taxonomy Code
320900000X
Type
Residential Treatment Facilities
License No.
800502
License State
MN
Taxonomy Description
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1251E00000XAgencies

Home Health

(MN)
2251S00000XAgencies

Community/Behavioral Health

(MN)
3261QM0801XAmbulatory Health Care Facilities

Clinic/Center
Mental Health (Including Community Mental Health Center)

(MN)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Atlas $1,300 Gold - PPO
  • Atlas $2,000 Standard Gold - PPO
  • Atlas $3,050 Plus Silver - PPO
  • Atlas $3,800 HSA Silver - PPO
  • Atlas $6,000 Standard Silver - PPO
  • Atlas $6,800 Plus Bronze HSA - PPO
  • Atlas $7,500 Standard Bronze HSA - PPO
  • Atlas $8,400 HSA Bronze - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. SHANNON BOCK

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(218) 236-6730

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
409343700MEDICAID (05)MN 
1295870699MEDICARE PIN (08)MN 
304720200MEDICAID (05)MN 
403445700MEDICAID (05)MN 
702420000MEDICAID (05)MN 
001418000MEDICAID (05)MN 

Reviews for CREATIVE CARE FOR REACHING INDEPENDENCE

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1295870699, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
5
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
7
Unchanged
Pos 7
0
Doubled → 0
Pos 8
6
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 8 → 16 → 7 0 → 0 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 8 + 5 + 1 + 6 + 7 + 0 + 6 + 1 + 8 + 24 = 71

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 71 is 80. The difference is the calculated check digit.

80 - 71 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1295870699.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Social Worker (Clinical)
2903 15TH ST S
MOORHEAD, MN 56560
Social Worker (Clinical)
2903 15TH ST S
MOORHEAD, MN 56560

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295870699, enumerated as an "organization" on February 21, 2007.

The provider is located at 2903 15TH ST S MOORHEAD, MN 56560 and the phone number is (218) 236-6730.

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

The provider might be accepting Accepts: HealthPartners, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.