Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
RESIDENTIAL ADVANTAGES, INC.
Active
Organization
RESIDENTIAL ADVANTAGES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRETT IAN COHEN (COO)
(800) 388-5150
Entity
Organization
Contact information
Practice address
107 S BLUE MOUND AVE, LUVERNE, MN 56156-1924
(507) 283-4088
(507) 283-9448
Mailing address
6600 FRANCE AVE S, EDINA, MN 55435-1805
(952) 925-5067
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
801449-1RS
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
299543300
—
MN
Enumeration date
12/27/2006
Last updated
03/05/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up