Fourth Avenue Homes Inc.
NPI 1205012507 · Mental Illness Community Based Residential Treatment Facility · Spicer, MN
Fourth Avenue Homes Inc. is a Mental Illness Community Based Residential Treatment Facility organization in Spicer, MN (NPI 1205012507).
Provider details
- NPI number
- 1205012507
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Debra Shriver, Ceo(320) 231-2738
- License
- 804433 (MN)
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- First Step Quality Services
Registry dates
- Enumerated
- 2008-01-16
- Last updated
- 2008-04-15
Frequently asked questions
- What is Fourth Avenue Homes Inc.'s NPI number?
- Fourth Avenue Homes Inc.'s National Provider Identifier (NPI) is 1205012507, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fourth Avenue Homes Inc.?
- Fourth Avenue Homes Inc. is classified in the NPPES registry as Mental Illness Community Based Residential Treatment Facility (Residential Treatment Facilities).
- Where is Fourth Avenue Homes Inc. located?
- Fourth Avenue Homes Inc.'s practice location on file with NPPES is 140 4th Ave, Spicer, MN 56288-9673.
- What is Fourth Avenue Homes Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Fourth Avenue Homes Inc. is (320) 796-2905.
- Who is the authorized official for Fourth Avenue Homes Inc.?
- The authorized official listed on Fourth Avenue Homes Inc.'s NPPES record is Debra Shriver, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fourth Avenue Homes Inc.'s NPI active?
- Yes — Fourth Avenue Homes Inc.'s NPI (1205012507) is active in the NPPES registry as of the last update on 2008-04-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.