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Prairie Residence Care, LLC — NPI 1003620055, Eden Prairie, MN | NPI Central

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NPI 1003620055

OrganizationActive

Prairie Residence Care, LLC

NPI 1003620055 · Assisted Living Facility (Mental Illness) · Eden Prairie, MN

Provider details

NPI number: 1003620055
Entity type: Organization
Primary specialty: Assisted Living Facility (Mental Illness)Nursing & Custodial Care Facilities
Organization subpart: No
Authorized official: Aden Rashid, Owner(612) 461-2158

Specialties & taxonomies

Assisted Living Facility (Mental Illness)Primary3104A0625X
Nursing & Custodial Care Facilities

Practice location

12570 Crowfoot Ct

Eden Prairie, MN 55344-3937

Phone: (612) 461-2158

Approximate (ZIP-level) locationGet directions

More MN providers

Mailing address

12570 Crowfoot Ct

Eden Prairie, MN 55344-3937

Other names (DBA / former)

Doing business as: Prairie Residenc Care, LLC

Registry dates

Enumerated: 2025-02-01
Last updated: 2025-02-01
Certified: 2025-02-01

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.