Ccri, Inc
NPI 1295870699 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Moorhead, MN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ccri, Inc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility organization in Moorhead, MN (NPI 1295870699).
Provider details
- NPI number
- 1295870699
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Shannon Bock, Executive Director(218) 236-6730
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense 800502 (MN)
Residential Treatment Facilities
- Home Health Agency251E00000X
Agencies
- Community/Behavioral Health Agency251S00000X
Agencies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
- Creative Care for Reaching Independence
Registry dates
- Enumerated
- 2007-02-21
- Last updated
- 2014-08-13
Frequently asked questions
- What is Ccri, Inc's NPI number?
- Ccri, Inc's National Provider Identifier (NPI) is 1295870699, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ccri, Inc?
- Ccri, Inc is classified in the NPPES registry as Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (Residential Treatment Facilities).
- Where is Ccri, Inc located?
- Ccri, Inc's practice location on file with NPPES is 2903 15th St S, Moorhead, MN 56560-5111.
- What is Ccri, Inc's phone number?
- The practice phone number listed in the NPPES registry for Ccri, Inc is (218) 236-6730.
- Does Ccri, Inc accept Medicare?
- Ccri, Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Ccri, Inc?
- The authorized official listed on Ccri, Inc's NPPES record is Shannon Bock, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ccri, Inc's NPI active?
- Yes — Ccri, Inc's NPI (1295870699) is active in the NPPES registry as of the last update on 2014-08-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.