PRAIRIE MANOR INC.
NPI 1356343701
Skilled Nursing Facility in Blooming Prairie, MN

Active since August 15, 2005CLIA 24D0726320 · Waiver
220 3RD ST NW, BLOOMING PRAIRIE, MN 55917(507) 583-4434(507) 583-2401 Get Directions Write a Review

NPPES record last updated: April 30, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 11, 2023, Jan 6, 2022 (2 updates tracked since 2022).

About Prairie Manor Inc. NPPES

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

PRAIRIE MANOR INC. (NPI 1356343701), doing business as Heather Haus, is a healthcare organization registered as a skilled nursing facility in Blooming Prairie, Minnesota and active in the NPI registry since August 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Brittany Alexander, Business Office Manager, as its authorized official.

NPPES Registry Identity

NPI1356343701
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NamePRAIRIE MANOR INC.
Location Address220 3RD ST NWBlooming Prairie, MN 55917-1121
Mailing Address220 3rd St NwBlooming Prairie, MN 55917-1121 · (507) 583-4434 · Fax (507) 583-2401
Fax(507) 583-2401
Organization SubpartNo
Authorized OfficialBrittany AlexanderBusiness Office Manager · (507) 572-6193
Enumeration DateAugust 15, 2005
Last NPPES UpdateApril 30, 20252 updates tracked since enumeration
NPPES CertifiedApril 30, 2025
NPI 1356343701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in MN · 325518
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
Also ListedAssisted Living FacilityTaxonomy 310400000X
220 3RD ST NW, Blooming Prairie, MN 55917

Other Names 2

Doing Business AsHeather Haus
Doing Business AsPrairie Manor Care Center

Other Identifiers 1

Medicaid122343700MN

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D0726320

Prairie Manor Inc · Blooming Prairie, MN
Active · expires Aug 31, 2026
CLIA Number24D0726320
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorBrandon P. Verdoorn
Laboratory Phone(507) 583-4434
Laboratory LocationPrairie Manor Inc220 3rd St NW, Blooming Prairie, MN 55917
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Manor Inc.'s NPI number?

The NPI number for Prairie Manor Inc. is 1356343701. It was assigned to this organization in the NPPES registry on August 15, 2005. The provider is doing business as Heather Haus and Prairie Manor Care Center.

Where is Prairie Manor Inc. located?

Prairie Manor Inc. is located at 220 3rd St NW, Blooming Prairie, MN 55917. The listed phone number is (507) 583-4434.

What is Prairie Manor Inc.'s specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Prairie Manor Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D0726320) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Prairie Manor Inc. was last updated on April 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.