BARRETT PRODY
NPI 1477867299
Custodial Care Facility - Adult Care Home in Fergus Falls, MN

Active since August 04, 2010
419 E SAINT CHARLES AVE, FERGUS FALLS, MN 56537(218) 739-2799 Get Directions Write a Review

NPPES record last updated: August 4, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Barrett Prody NPPES

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

BARRETT PRODY (NPI 1477867299) is a healthcare organization registered as an adult care home in Fergus Falls, Minnesota and active in the NPI registry since August 2010. The organization lists Cathy A Bellmore, Manager, as its authorized official.

NPPES Registry Identity

NPI1477867299
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameHAVEN MANOR
Location Address419 E SAINT CHARLES AVEFergus Falls, MN 56537-3616
Mailing Address419 E Saint Charles AveFergus Falls, MN 56537-3616 · (218) 739-2799
Organization SubpartNo
Authorized OfficialCathy A BellmoreManager · (218) 739-2799
Enumeration DateAugust 4, 2010
NPI 1477867299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
License Licensed in MN · 1058161-1-AFC
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
419 E SAINT CHARLES AVE, Fergus Falls, MN 56537

Other Names 1

Doing Business AsBarrett Prody

Other Identifiers 1

Other1058161-1-AFCMN · Minnesota License

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 Haven Manor's NPI number?

The NPI number for Haven Manor is 1477867299. It was assigned to this organization in the NPPES registry on August 4, 2010. The provider is doing business as Barrett Prody.

Where is Haven Manor located?

Haven Manor is located at 419 E Saint Charles Ave, Fergus Falls, MN 56537. The listed phone number is (218) 739-2799.

What is Haven Manor's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Haven Manor was last updated on August 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.