Organization
PIONEER HOME INCORPORATED
Active
Other names
Pioneer Retirement Community
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY KACER (A/R SPECIALIST)
(218) 998-1540
Entity
Organization
Contact information
Practice address
1131 S MABELLE AVE, FERGUS FALLS, MN 56537-3723
(218) 998-1500
(218) 998-1580
Mailing address
1006 S SHERIDAN ST, FERGUS FALLS, MN 56537-3518
(218) 739-7700
(218) 739-7707
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
8090221ADC
MN
310400000X
Assisted Living Facility
1064141-1-ADC
MN
310400000X
Assisted Living Facility
FLB001784712556
MN
314000000X
Skilled Nursing Facility
328217
MN
314000000X
Skilled Nursing Facility
Primary
—
—
333300000X
Emergency Response System Companies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
707342900
—
MN
01
—
7100383
MEDICA PROVIDER NUMBER
MN
01
—
9668PI
BCBS PROVIDER NUMBER
MN
Enumeration date
02/24/2006
Last updated
07/17/2020
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